Individual
MR. ANTHONY MICHAEL LOTECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4201 HENRY AVE, PHILADELPHIA, PA 19144-5409
(215) 951-2700
Mailing address
505 KIMBERLY DR, MILLVILLE, NJ 08332-1759
(856) 457-1441
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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